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DR. SEAN EVAN STEPHENS DDS
NPI 1417063942
Dentist in San Diego, CA

Active since August 21, 2006PECOS Enrolled
3588 4TH AVE, SUITE 300, SAN DIEGO, CA 92103(619) 497-0122(619) 497-0264 Get Directions Write a Review

NPPES record last updated: April 9, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Sean Evan Stephens Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SEAN EVAN STEPHENS DDS (NPI 1417063942) is an individual dentist in San Diego, California, licensed in California (45979) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417063942
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SEAN EVAN STEPHENSCredential: DDS
Location Address3588 4TH AVE, SUITE 300San Diego, CA 92103-4940
Mailing Address3588 4th Ave, Suite 300San Diego, CA 92103-4940 · (619) 497-0122 · Fax (619) 497-0264
Phone(619) 497-0122
Fax(619) 497-0264
Sole ProprietorNo
Enumeration DateAugust 21, 2006
Last NPPES UpdateApril 9, 2013
✔ NPI 1417063942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 45979
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3588 4TH AVE, San Diego, CA 92103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sean Evan Stephens Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BITA TAHVILDARI, D.D.S.
Dentist
3588 4TH AVE, SUITE 300
SAN DIEGO, CA 92103
San Diego County (619) 295-5261
DR. MARK GRIFFITHS DDS
Dentist (General Practice)
3588 4TH AVE, SUITE 300A
SAN DIEGO, CA 92103
San Diego County (619) 298-6257

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sean Stephens's NPI number?

The NPI number for Sean Stephens is 1417063942. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Sean Stephens located?

Sean Stephens practices at 3588 4th Ave Suite 300, San Diego, CA 92103. The listed phone number is (619) 497-0122.

What is Sean Stephens's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Sean Stephens enrolled in Medicare?

Yes. Sean Stephens is registered in the Medicare PECOS enrollment system.

What insurance does Sean Stephens accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Sean Stephens as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sean Stephens was last updated on April 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.